ERRANDi;-'" c' IIIIIII'll'IIIIIII�I 78-105 Calle Estado
55 P.O. Box 1504
}Fi z La Quinta, CA 92253
E� - • (619) 564-2246
CITY OF LA QUINTA
• Fy of �w�. HOME OCCUPATION APPLICATION
Read each condition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
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APPLICANT' S NAME�PHONE Q0�-
PROPERTY OWNER p� - r� ( UVI PHONE PL4 U IPJ I
PROPERTY ADDRESSl
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS �i� \ CI 1 Liu
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE ukA l`r-eSS
0 )YY U r " � � lG PA` CO 5
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AR A IN PAID SM.00
HOUSE ( EXCLUDE GARAGE) 0WLQtW2WASTAMP. .
• LOCATION AND SQUARE FOOTAGE OF AREA OF MAR 0.619 2
BUSINESS ACTIVITY IN HOME (EXAMPLE..�
"BEDROOM - 125 S.F.")
BY
DESCRIPTION OF MACHINE Y, EQUIPMENT, AND SUPPLIES BEING USE IN THE
BUSINESS OPERATION kz& « �YL - } -.
DY
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPL CANT SIGNATUREDAT
IF APPLICANT IS OTHER THAN PRO RTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation; failure to comply with conditions listed on the
attached page shall be grounds for revocation of permit.
Bu i ding and Safety Department
APPROVED BY DATE "\� CONDITIONS ATTACHED
DENIED BY DATE